Quality & safety in nursing

Readings: Chapters 8 and 9 in the textbook (3rd edition), Chapters 4 and 7 in textbook (2nd edition)
View video on “Just Culture” at: https://www.youtube.com/watch?v=5mR6e-uhR7c

Skim the following IOM reports:

Aspden, P., Wolcott, J., Bootman, J. L., & Cronenwett, L. R. (Eds.). (2007). Preventing medication
errors: Quality chasm series. http://www.nap.edu/catalog.php?record_id=11623

Frankel, Leonard, & Denham (2006). Fair and just culture, team behavior, and leadership
engagement: The tools to achieve high reliability. Retrieved from

Stead, W. W., & Lin, H. S. (Eds.). (2009). Computational technology for effective health care:
Immediate steps and strategic directions. http://www.nap.edu/catalog.php?record_id=12572

Discussion Question 2:

Do you have a “Just Culture” at your place of nursing employment?  If you do, please explain how this culture is communicated and reinforced within the workplace.  Provide an example of a situation in which “Just Culture” was evident.

If you do not have a “Just Culture” at your place of nursing employment, how might it be initiated?  Provide an example of a situation in which a “Just Culture” orientation would have been useful and effective.

A common finding in nursing informatics is that nurses develop work arounds when the technology does not work or is inadequate for documentation. 

What examples have you seen of work arounds in your practice setting?

What issues do the work arounds present for patient safety and care quality?